Organization
CAPE COD PEDIATRICS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER C HEARD MD (PARTNER)
(508) 477-5306
Entity
Organization
Contact information
Practice address
53 ROUTE 130, FORESTDALE, MA 02644-1402
(508) 477-5306
(508) 477-0297
Mailing address
PO BOX 549, FORESTDALE, MA 02644-0549
(508) 477-5306
(508) 447-0297
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9781854
—
MA
01
—
M17770
BLUE CROSS BLUE SHIELD OF
MA
Enumeration date
08/31/2006
Last updated
03/22/2012
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